DR. KHILIA TYESE GIACOBONE PHD, LPC, CSOTP
NPI 1902628126
Counselor - Professional in Mechanicsville, VA
About Dr. Khilia Tyese Giacobone Phd, Lpc, Csotp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KHILIA TYESE GIACOBONE PHD, LPC, CSOTP (NPI 1902628126) is an individual professional provider in Mechanicsville, Virginia, licensed in Virginia (0701011919) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jarratt, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Khilia Tyese Giacobone Phd, Lpc, Csotp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Khilia Giacobone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bristow, VA 20136
- Reassigned Medicare billing, Virginia enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Khilia Giacobone's NPI number?
The NPI number for Khilia Giacobone is 1902628126. It was assigned to this individual provider in the NPPES registry on October 29, 2024.
Where is Khilia Giacobone located?
Khilia Giacobone practices at PO Box 337, Mechanicsville, VA 23111. The listed phone number is (804) 306-1790.
What is Khilia Giacobone's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Khilia Giacobone enrolled in Medicare?
Yes. Khilia Giacobone is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Khilia Giacobone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khilia Giacobone reassigns Medicare benefits to Youth For Tomorrow New Life Center, Inc. (Bristow, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khilia Giacobone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Khilia Giacobone was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Khilia Tyese Giacobone, PHD, LPC, CSOTP · NPI 1902628126
Professional provider in Mechanicsville, Virginia. Individual provider, active in the CMS NPPES registry since October 29, 2024.
## Identity
- **NPI:** 1902628126 (Entity type: Individual)
- **Enumerated:** October 29, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701011919 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** PO BOX 337, Mechanicsville, VA 23111-0337
- **Phone:** (804) 306-1790
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Youth For Tomorrow New Life Center, Inc. (NPI 1316118292, Bristow, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1902628126) · Data from the CMS NPPES public registry.